October 30, 2017

Centers for Medicare & Medicaid Services (CMS) gave the public its first look at the newly designed Medicare card. The new Medicare card contains a unique, randomly-assigned number that replaces the current Social Security-based number.

CMS will begin mailing the new ca...

August 8, 2016

New Benefit Preauthorization Requirements through eviCore
Effective Oct. 3, 2016, Blue Cross and Blue Shield of Illinois (BCBSIL) has contracted with eviCore healthcare (eviCore) to provide benefit preauthorization services for Blue Choice PPOSM, Blue Choice Preferred...

February 8, 2016

As part of the final rule, CMS announced its plans to move forward with activation of:

  • CPT code 99497 [Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed) by the...

May 15, 2015

Reminder: Medicare Does Not Preauthorize Coverage for Items or Services

National Government Services has seen an increase in calls to our Provider Contact Center (PCC), asking if Medicare preauthorizes coverage for provided items and services. As a reminder, Medicare...

May 15, 2015

View Nine Months of Remittance Information on NGSConnex!

With just a few clicks, you can view your remittance advices online at NGSConnex. Please keep in mind they will not be issued until a claim is finalized. You will be able to see remittance information from the pas...

April 29, 2015

 

Section 6401 (a) of the Affordable Care Act established a requirement for all enrolled providers and suppliers to revalidate their enrollment information under the new enrollment screening criteria. This revalidation effort applies to those providers and suppliers tha...

April 1, 2015

CMS Claims On Hold AGAIN - Information Regarding the 2015 Medicare Physician Fee Schedule
The 21% pay cut under current law for the Medicare Physician Fee Schedule is scheduled to take effect on April 1, 2015. Medicare Physician Fee Schedule claims for services rendere...

March 11, 2015

Join Us 3/18/15 to Learn about J6 Revalidation of Provider Enrollment Information.

This session is to help providers revalidate their provider enrollment information with Medicare, explains what happens if you do not respond timely to the revalidation notice or addition...

March 9, 2015

Why is it good to outsource your billing?

This takes the hassle of hiring unexperienced staff, training staff to do your billing PLUS office duties, and buying expensive software and upgrades.

 

Outsourcing is like having your off site office staff.  You get Certified Med...

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